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LicenseReciprocity

Occupational Therapy License from California to South Carolina: Does It Transfer? (2026)

Last verified: 2026-09-27 · source: South Carolina Board of Occupational Therapy (SC Department of Labor, Licensing and Regulation) ↗

A occupational therapy license transfers from California to South Carolina by endorsement — there is no automatic reciprocity, but you do not start over. Apply to the South Carolina Board of Occupational Therapy (SC Department of Labor, Licensing and Regulation), verify your California license, and meet South Carolina's endorsement requirements. The NBCOT certification exam is not retaken. For endorsement, 'NBCOT must submit verification of your current certification status directly to the Board' (an NBCOT Verification of Certification; copies not accepted), and the statutory licensing requirements include being in good standing with NBCOT, so South Carolina requires CURRENT NBCOT certification. The 70% SC Jurisprudence Exam is listed only in the examination-applicant instructions, not in the endorsement instructions..

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Verdict

Licensure by endorsement

The compact plays no part here, since neither state is issuing privileges. You apply to the South Carolina Board of Occupational Therapy (SC Department of Labor, Licensing and Regulation) as an OT licensed in another state, with NBCOT passage verified and your California license confirmed, plus whatever South Carolina adds such as fingerprints or a jurisprudence exam.

What changes, California → South Carolina

Side-by-side: California vs South Carolina (Occupational Therapy (OT/OTA)), verified 2026-09-27
California (current)South Carolina (destination)
OT Compact statusLicensure by endorsementOT Compact enacted — not yet issuing
Application fee$50 ($50 application fee paid in BreEZe. A separate initial license fee, prorated by your birth date and the month of issue, is stated in the approval letter and paid after approval, so it is not in this range. + $49 fingerprint-card fee if you are not using Live Scan (Live Scan fees are paid to the vendor).)$135 (initial license application fee for an OT (OTA $115), by certified check or money order with a paper application, or online through the LLR portal. Temporary licensure is $10 per license. No fingerprint/background-check fee is listed in the Board's instructions. No OT Compact privilege fee exists yet (South Carolina is not issuing privileges).)
Processing time3–4 weeks (the Board states 'Processing time for all applications is 3-4 weeks'; 16 CCR 4112 gives the Board 30 days to review an application and notify the applicant of any deficiency; licenses issue once the approved applicant completes the online form and pays the initial license fee)no processing time is published on the Board's licensure or fee pages; incomplete applications or applications without the fee are not accepted and delay the process
Licensing authorityCalifornia Board of Occupational TherapySouth Carolina Board of Occupational Therapy (SC Department of Labor, Licensing and Regulation)

The destination column is what you must satisfy — South Carolina sets the rules for this move.

Step by step

  1. Confirm South Carolina's current requirements on the South Carolina Board of Occupational Therapy (SC Department of Labor, Licensing and Regulation) website (linked below) — rules change.
  2. Submit the endorsement application to the South Carolina Board of Occupational Therapy (SC Department of Labor, Licensing and Regulation) (application linked below).
  3. Arrange license verification from your current state via the verification system.
  4. Graduate of an ACOTE-approved OT program with at least six months of supervised fieldwork.
  5. Be in good standing with NBCOT and have NBCOT send verification of current certification directly to the Board.
  6. Have every state where you hold a permanent license (including lapsed licenses) send license verification directly to the Board.
  7. Submit a 2x2 photo, a signed copy of your Social Security card and a copy of a government ID with the application.
  8. Pay the fees ($135 (initial license application fee for an OT (OTA $115), by certified check or money order with a paper application, or online through the LLR portal. Temporary licensure is $10 per license. No fingerprint/background-check fee is listed in the Board's instructions. No OT Compact privilege fee exists yet (South Carolina is not issuing privileges).)) and allow no processing time is published on the Board's licensure or fee pages; incomplete applications or applications without the fee are not accepted and delay the process.

Official links

Related guides

Frequently asked questions

Can I use my California occupational therapy license in South Carolina?

A occupational therapy license transfers from California to South Carolina by endorsement — there is no automatic reciprocity, but you do not start over. Apply to the South Carolina Board of Occupational Therapy (SC Department of Labor, Licensing and Regulation), verify your California license, and meet South Carolina's endorsement requirements. The NBCOT certification exam is not retaken. For endorsement, 'NBCOT must submit verification of your current certification status directly to the Board' (an NBCOT Verification of Certification; copies not accepted), and the statutory licensing requirements include being in good standing with NBCOT, so South Carolina requires CURRENT NBCOT certification. The 70% SC Jurisprudence Exam is listed only in the examination-applicant instructions, not in the endorsement instructions..

Do I retake the NBCOT exam moving from California to South Carolina?

No. The NBCOT certification exam is not retaken. For endorsement, 'NBCOT must submit verification of your current certification status directly to the Board' (an NBCOT Verification of Certification; copies not accepted), and the statutory licensing requirements include being in good standing with NBCOT, so South Carolina requires CURRENT NBCOT certification. The 70% SC Jurisprudence Exam is listed only in the examination-applicant instructions, not in the endorsement instructions.

How much does a South Carolina OT license cost for someone licensed in California?

$135 (initial license application fee for an OT (OTA $115), by certified check or money order with a paper application, or online through the LLR portal. Temporary licensure is $10 per license. No fingerprint/background-check fee is listed in the Board's instructions. No OT Compact privilege fee exists yet (South Carolina is not issuing privileges).).

How long does South Carolina take to process the application?

no processing time is published on the Board's licensure or fee pages; incomplete applications or applications without the fee are not accepted and delay the process.

Can I use the OT Compact to work in South Carolina?

Not for this move. South Carolina has enacted the OT Compact but was not issuing privileges as of 2026-09-27. A South Carolina license by endorsement is required.

Sources

Primary sources only — official boards and compact commissions. Data last verified 2026-09-27.

Reviewed by Billy Reiner, Editor · verified against primary sources 2026-09-27

How we verify · All sources · spot an error? [email protected]